Chondrosarcoma of the scapula

Case contributed by Dr Chris O'Donnell

Presentation

Pain in the shoulder not responding to hydrodilatation. Now palpable lump posteriorly

Patient Data

Age: 40
Gender: Male
Ultrasound

Non-specific solid soft tissue mass adjacent to the spine of scapula

CT

Well-defined lytic destruction at the base of the scapular spine with a soft tissue mass involving the infraspinatus muscle belly. No matrix calcification as is often seen in chondral tumours

Nuclear medicine

Bone scan to look for other lesions

Realtively minor isotope accumulation in the left spine of scapula

Case Discussion

The scapula is an unusual location for chondrosarcoma. In this case there is a substantial soft tissue mass without calcification together with a reasonably well-defined, lobulated erosion of the bone.

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Case information

rID: 30696
Case created: 29th Aug 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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